Provider Manual

EyeMed is the vision services provider for all EmblemHealth members with a vision care benefit. This includes ASO members whose vision benefit is managed by EmblemHealth. Please note not every EmblemHealth member has a routine vision benefit. See the member’s Benefit Summary on emblemhealth.com or call EyeMed to determine if a member has vision coverage.

Included Membership

1. Medicaid
2. Medicare
3. HIP (including members whose care is managed by Montefiore Medical Group (CMO) or HealthCare Partners (HCP) and members who selected a PCP assigned to a St. Barnabas Hospital System PCP or AdvantageCare Physicians (ACPNY).)
4. GHI Commercial Groups with Vision Benefits (See the eligibility information on emblemhealth.com or call EyeMed to determine if a GHI member has vision coverage.)